Men, could you be at risk for osteoporosis?

Joint Health

by Howard J. Heller, MD

Jul 20, 2017

Osteoporosis is a condition that causes bones to lose density, leaving them thin and weak and susceptible to fractures. While osteoporosis does affect more women than men, it is not just a women’s disease. Approximately two million American men already have osteoporosis, and about 12 million more are at risk. The risk for men developing osteoporosis skyrockets after 65. Altogether, about 20 percent of hip fractures due to osteoporosis happen in males.

Risk Higher Than Prostate Cancer

The estimated lifetime risk of an osteoporotic fracture in men over the age of 50 is 27 percent — higher than the 11.3 percent lifetime risk of developing prostate cancer. This is particularly concerning because a recent survey from the International Osteoporosis Foundation (IOF) found 93 percent of men are not aware of how common osteoporotic fractures are in males.

Additionally, while men don’t break their hips as often, they are also less likely to survive fractures than women. The importance of awareness about osteoporosis in men goes beyond the 27 percent risk of hip fracture. Hip fractures also have a higher mortality, disability and decreased quality of life rate in men. 

Could You Be at Risk?           

In women, the key risk factor for osteoporosis is menopause. While men do not universally suffer from the lack of sex hormones, low testosterone is one of the top contributors to osteoporosis in men. Other top contributors include the use of alcohol and glucocorticoids (steroids used to treat asthma, certain rashes and some forms of arthritis).

In both genders, bone health is improved by exercise, optimal intake of calcium and vitamin D, and by avoiding cigarettes and excess alcohol.

Bone Up on Calcium

One of the most important things you can do to prevent osteoporosis is to get enough calcium. When possible, dietary calcium (milk, cheese, yogurt and other dairy products) is better than calcium supplements, because calcium supplements can sometimes lead to kidney stones. Both women and men should get at least 3 servings per day of dairy.

Additionally, resistance training, lifting weights and weight-bearing exercises such as walking, jogging and tennis may help in maintaining bone density. Start with low-intensity workouts and gradually build up your muscle strength, coordination and flexibility to help prevent the risk of falls.

For more information on osteoporosis, visit the National Osteoporosis Foundation at

To schedule an osteoporosis screening or find a physician specializing in osteoporosis, go to Discover how you can move better today. 

About the Author

Howard J. Heller, MD is an endocrinologist on the medical staff at Baylor University Medical Center at Dallas and is fellowship trained and board certified in Endocrinology, Diabetes and Metabolism. Dr. Heller treats all adult endocrinology disorders, except for reproductive endocrinology. His key interests include mineral disorders such as osteoporosis, kidney stone prevention, metabolic bone disease, disorders of calcium, phosphorus and magnesium. Dr. Heller is also interested in diabetes mellitus, hyperlipidemia and thyroid disorders. He also performs thyroid ultrasounds, ultrasound-guided thyroid biopsies and bone mineral densities in the office.
Dr. Heller earned his medical degree from the University of Southwestern Medical School in Dallas. He stayed on campus to complete his internship and residency training in Internal Medicine at the University of Texas Southwestern Medical Center and a fellowship in Endocrinology, Diabetes and Metabolism. Following his fellowship, Dr. Heller joined the University of Texas Southwestern faculty, rising to Associate Professor during his 11-year stay. During that time he treated patients, performed clinical research, published articles and chapters, and taught fellows, house staff and medical students.

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